MR. MICHAEL LYNN (NPI# 1811027204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811027204 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LYNN |
| Credential | NP |
| Practice Address |
2500 West A Ste. Ste #1 Moscow ID 83843 |
| Mailing Address |
623 South Main St. Ste #1 Moscow ID 83843-2983 |
| Practice Telephone | 2088820540 |
| Practice Fax Number | 2088821487 |
| Mailing Telephone | 2088822011 |
| Mailing Fax Number | 2088831853 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 122180 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP-941 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO NURSING LICENSE | NP-941 | 01 |
| CO | NURSING LICENSE # | 122180 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884091 | Michael P Lynn | Registered Nurse | Santa Margarita Rd Bldg H-100, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 | 2006-01-09 |
| 1093250383 | Michael Gregory Lynn | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-12-22 |
| 1669774469 | Michael B Lynn | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-7376 | 2010-11-30 |
| 1831491786 | Michael Lynn | Chiropractor | 1455 Park Blvd, Orange Cove, CA 93646-9322 | 2010-11-29 |
| 1962585836 | Michael Lynn | Neurological Surgery | 111 Doctors Dr, Greenville, SC 29605-5622 | 2006-10-23 |
| 1013985738 | Michael Scott Lynn | Emergency Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2006-03-09 |
| Street Address |
2500 WEST A STE. STE #1 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983916 | Danielle Laurie Kamine | Nurse Practitioner | 272 Hamlin Hwy, Moscow, PA 18444-7415 | 2011-03-28 |
| 1093372229 | Shannon Snyder | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-05-22 |
| 1205317856 | Sara B Presol | Nurse Practitioner | 213 N Main St, Moscow, ID 83843-2700 | 2018-08-22 |
| 1831695691 | Jillene Amow | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843 | 2018-04-02 |
| 1558503581 | Sheri Danielle Erwin | Nurse Practitioner | 2500 W A St, Moscow, ID 83843-6000 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1164043162 | Slavik Osipchuk | Nurse Practitioner | 2329 W Root Creek St, Meridian, ID 83646-4678 | 2020-04-30 |
| 1538708862 | Kay Dawn Martens | Nurse Practitioner | 334 E 200 S, Burley, ID 83318-5433 | 2020-01-03 |
| 1760025639 | Kimberly Watson | Nurse Practitioner | 3536 W Moon Lake St, Meridian, ID 83646-8304 | 2019-10-23 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1649824277 | Bryana Michel Hinck | Nurse Practitioner | 150 W Broderick Dr, Meridian, ID 83646-0009 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.